STEVEN PARK KIM D.P.M.
NPI 1306877006
Podiatrist - Foot & Ankle Surgery in Santa Rosa, CA

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
4761 HOEN AVE, SANTA ROSA, CA 95405(707) 545-0570(707) 545-0575 Get Directions Write a Review

NPPES record last updated: April 18, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Steven Park Kim D.p.m. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEVEN PARK KIM D.P.M. (NPI 1306877006) is an individual foot & ankle surgery provider in Santa Rosa, California, licensed in California (E4506) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (2001).

NPPES Registry Identity

NPI1306877006
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameSTEVEN PARK KIMCredential: D.P.M.
Location Address4761 HOEN AVESanta Rosa, CA 95405-7862
Mailing Address3536 Mendocino Ave, 200Santa Rosa, CA 95403-3634 · (707) 575-6049 · Fax (707) 545-0575
Fax(707) 545-0575
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2001
Enumeration DateJuly 5, 2006
Last NPPES UpdateApril 18, 2012
NPI 1306877006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in CA · E4506
4761 HOEN AVE, Santa Rosa, CA 95405

Other Identifiers 7

Medicare PIN000E45060CA
OtherP01011615CA · Railroad Medicare
Medicare PINFM916ZCA
Medicaid000E45060CA
Medicare PINP00336765CA
Medicare UPINU98086CA
Medicare NSC5234710001CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Steven Park Kim D.p.m. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729976485
PECOS Enrollment IDI20040305000498
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,206 services415 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
599 services178 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
281 services208 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
258 services258 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
101 services34 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
100 services33 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier13 claims13 services$237.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
4761 HOEN AVE
SANTA ROSA, CA 95405
Chiropractor
4761 HOEN AVE
SANTA ROSA, CA 95405
Podiatrist (Foot & Ankle Surgery)
4761 HOEN AVE
SANTA ROSA, CA 95405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Steven Kim's NPI number?

The NPI number for Steven Kim is 1306877006. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Steven Kim located?

Steven Kim practices at 4761 Hoen Ave, Santa Rosa, CA 95405. The listed phone number is (707) 545-0570.

What is Steven Kim's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Steven Kim enrolled in Medicare?

Yes. Steven Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Steven Kim was last updated on April 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.